1-Affirmation_and_Disclosure_BDT_4_2025.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, which addresses restrictions on services performed by Russian companies or institutions. The form is completed by Big Daddy's Paving Inc., located at 3415 St. Johns Rd. in Lima, OH 45804, and appears to be part of a state contract submission requiring disclosure of business locations and service performance sites.

The form specifically emphasizes compliance with Executive Orders 2022-02D and 2019-12D, which prohibit the expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms that no services under this contract will be performed in Russia, and agrees to complete an attached Exhibit II detailing contractor/subcontractor affirmations. The document requires disclosure of the principal business location, service performance location, and state data location, all of which are listed as 3415 St. Johns Rd. in Lima, OH 45804. The form was signed by Brian J. Keller, President of Big Daddy's Paving Inc., on 04/17/2025.